Urban parks serve as important carriers for enhancing residents’ health and well-being, and the eff ectiveness of their recreational resource management directly aff ects the quality of public health service provision. The Recreation Opportunity Spectrum (ROS) theory provides a theoretical foundation for recreation resource allocation, but it is diffi cult to eff ectively integrate diverse health service demands and complex stakeholder relationships in the current context of urban park openness and sharing through the combination of recreation environments and activities alone. By introducing service design theory into the ROS framework, this study constructs a recreational opportunity management model with a “environment-service-activity” ternary structure, transforming static environmental resources into dynamic service provision through service systems. Based on this model, recreational resource management strategies for health service-oriented urban parks are proposed from two dimensions: optimizing stakeholder relationship networks and constructing full-cycle service processes. These strategies promote the transformation of urban parks from single-management models to multi-stakeholder collaborative service models, achieve multi-stakeholder collaborative value co-creation, and enhance the overall eff ectiveness of health-service-oriented urban park recreational resource management.